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Nurse-Driven Spontaneous Awakening Trials

Le, Be-Ut
; ; 
Evan, Frank
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Genre
Poster (Research)
Date
2025
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Committee member
Group
Department
Nursing
Subject
Intensive care nursing
 Spontaneous awakening trials
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https://scholarshare.temple.edu/handle/20.500.12613/11019
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Evidence Based Practice Conference
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LeEtAl-Poster-2025.pdf
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DOI
https://doi.org/10.34944/85h9-wc90
Abstract
Purpose/hypothesis: The purpose of this quality improvement (QI) project evaluated the impact of a nurse-driven SAT protocol on the frequency of SAT and SBT assessments and their effect on patient MV days, ICU and hospital LOS in a medical respiratory ICU (MRICU) at a level 1 trauma, teaching hospital in an urban setting. Prolonged sedation and mechanical ventilation in intensive care unit (ICU) patients are associated with adverse outcomes, including ICU delirium, ventilator-associated pneumonia (VAP), and increased length of stay (LOS). Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs) are evidence-based interventions designed to optimize sedation management, reduce ventilator dependence, and improve patient outcomes (Khan et al., 2014). Methods: A pre-existing, hospital-approved SAT protocol was implemented in a 28-bed MRICU unit. Data was collected for 6-weeks pre- and post-intervention. The nurse-driven project focused on adherence to SAT and SBT protocols, and measurable outcomes include MV days, ICU LOS, and hospital LOS. Results: Post-implementation data revealed statistical significance between the nurse-driven SAT assessments in relation to hospital LOS, with p-value 0.03. The pre-intervention mean hospital LOS was 20.17 days compared to 19.93 days post-intervention mean hospital LOS. Clinical Relevance: The nurse-driven SAT protocol demonstrated potential for improving mechanically ventilated patients’ outcomes by reducing their overall hospital LOS.
Description
A poster presented at the 2025 TUHS Nursing Research & EBP Conference, which took place April 24, 2025, in Philadelphia, PA.
Citation
Le, B.-U., Sheeron, B., & Evan, F. (2025 Apr). Nurse-Driven Spontaneous Awakening Trials. Presented at the 2025 TUHS Nursing Research & EBP Conference, Philadelphia, PA.
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